Common "Spondyloarthropathy" queries answered by top doctors | iCliniq

Spondyloarthropathy

Spondyloarthropathy is a group of inflammatory diseases that attack the bones in the spine and the joints of the arms and legs. People with spondyloarthritis often experience low back pain, pain and swelling in joints of the arms and legs. Non-steroidal anti-inflammatory drugs, anti-TNF drugs (TNF blockers), and anti-IL-17 drugs (IL-17 blockers) help reduce pain and swelling in spondyloarthritis.

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Which MRI will best reveal spondyloarthropathy?

Query: Hello doctor, I am a 31-year-old male, and I was diagnosed with spondyloarthropathy seven years back. I am taking only Sulfasalazine tablets daily. Currently, I do not have any pain or stiffness. My HLA-B27 report is negative. Now, if I do the following MRIs, what chances are there that any abnormal...  Read Full »


Dr. Naval Mendiratta

Answer: Hello, Welcome to icliniq.com. I am unable to find the attachment. It is good to know that you are doing well on Sulfasalazine only. But if you are doing well and have no symptoms with normal blood tests, I will not recommend MRI (magnetic resonance imaging) to be repeated. The MRI is only needed ...  Read Full »

Is Infliximab a safe pregnancy drug?

Query: Hi doctor,I am a 26-year-old. I am currently working in a hospital. I have been diagnosed with psoriatic spondyloarthropathy six years back. I had severe pain in the right SI joint. Currently, I am not taking medicines except NSAIDs. My MRI was done and it showed MRI joint inflammation. I was advise...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. We are here to help you. Infliximab is a pregnancy category B drug that is it has not shown till now any birth defects in babies in trials. So, it can be used if required. I would not recommend SI joint (sacroiliac joint) radiofrequency at this stage. I would reco...  Read Full »

Does my scan report suggest the cause of my low back pain?

Query: Hi doctor, I do not remember any spine trauma. I do have morning stiffness of greater than one hour with will become better with movement. I have this issue for the past seven years. My HLA-B27 is positive. Am I suffering from inflammatory spondyloarthropathy or ankylosing spondylitis? I have attach...  Read Full »


Dr. Vivek Chail

Answer: Hi, Welcome to icliniq.com. The SI joints show minimal linear hyperintensity on STIR (short TI inversion recovery) sequence (attachment removed to protect patient identity). It is mild edema and not the usual findings which are seen in inflammatory spondyloarthropathy. Probably, it is in the ...  Read Full »

Kindly suggest the reason for my back pain after going through my MRI reports.

Query: Hello doctor, I am a 33 year old unmarried male. I have back pain problem (stiffness) for more than three years, and everyone gives the feedback that my posture was not proper while walking. Two years before I consulted a doctor. He suspected ankylosing spondylitis, but HLA-B27 was negative. By seei...  Read Full »


Dr. Brungi Mahesh

Answer: Hi,Welcome to icliniq.com.It looks like spondyloarthropathy and right now no surgery is required. You do routine workups like complete blood picture, CRP (C-reactive protein), ESR (erythrocyte sedimentation rate), RA factor (rheumatoid arthritis factor), and anti-CCP antibody (anti-cyclic citrullina...  Read Full »

I suffer from arthritis, spine pain and knee issue. Please help.

Query: Hello doctor, I am having pain in the spine and upper back, light knee pain and lot of numbness in fingers. I have arthritis condition for nearly two years. Had initial knee injury in ligaments through bed corner hit. Had once the high pain in the knee subsided thereafter. The condition is mainly b...  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to icliniq.com. The symptoms you have mentioned are that of neuropathy especially numbness and you also have a mechanical backache. If you can buy use following medicine, but with the consent of your specialist doctor: Tablet Etoshine MR (Etoricoxib)after lunch. Tablet Revlin M...  Read Full »

Can I take anti-TNF agent for knee swelling?

Query: Hi doctor,I am an 18-year-old and I started to have neck pain on the left side below my left ear before a month. After nine days, I started to have pain in the left knee and I used a crepe bandage over it to get some relief. But my knee started to have swelling. I consulted a rheumatologist and he t...  Read Full »


Dr. Nupoor Acharya

Answer: Hi, Welcome to icliniq.com. You have these symptoms due to spondyloarthropathy. Spondyloarthropathy is a type of arthritis that involves the spine, and large joints like hips, knees, and ankles. The treatment, which you are receiving, is according to the treatment protocol. You have not mentio...  Read Full »

How can arthritis be confirmed?

Query: Hello doctor, Kindly confirm if I am arthritic from the available reports.  Read Full »


Dr. Naval Mendiratta

Answer: Hello, Welcome to icliniq.com. Could you provide me with some of your symptoms? I have gone through your reports (attachment removed to protect patient identity). Your inflammation markers are very high (erythrocyte sedimentation rate and C-reactive protein). So, it does indicate either there is ...  Read Full »

I have been suffering from seronegative spondyloarthropathy for the past year. Is it curable?

Query: Hello doctor, I have had seronegative spondyloarthropathy for the past year. I have been taking medicines like Saaz since last month. I am having pain in my spine and pelvic girdle to the femur. I am also having morning stiffness. I have doubts that these medicines will lead to side effects. Is this...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. In seronegative spondyloarthropathy, non-steroid anti-inflammatory drugs (NSAIDs) can be prescribed. This drug will help in relieving pain and inflammation. Stiffness and pain are common symptoms of spondyloarthropathy. Kindly mention the content of this drug. I thi...  Read Full »

How to manage pain and numbness in my hands and feet caused by SPA?

Query: Hi doctor, I am suffering from SPA rheumatism and the doctor has prescribed Salazopyrin, Sulfasalazine for more than 10 years. I am not taking it continuously. Now, these days, I have pain in my hand, wrist, and my feet also have numbness.  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to icliniq.com. I went through your post. You are suffering from spondyloarthropathy. However, small joint involvement like hand and feet joints are rare in SPA. You should restart Sulfasalazine 1 g morning, evening and do a C-reactive protein and ESR and preferably take Naproxin 50...  Read Full »

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